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BRENDAN MICHAEL RAY DPM
NPI 1023641115
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since February 17, 2020PECOS EnrolledAccepts Medicare Assignment
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229(317) 355-7356 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2023, Feb 17, 2020 (2 updates tracked since 2020).

About Brendan Michael Ray Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN MICHAEL RAY DPM (NPI 1023641115) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (41000475A) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alameda, and is a graduate of California School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1023641115
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN MICHAEL RAYCredential: DPM
Location Address10122 E 10TH ST STE 230Indianapolis, IN 46229-2664
Mailing Address10122 E 10th St Ste 230Indianapolis, IN 46229-2664 · (317) 355-7356
Phone(317) 355-7356
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2023
Enumeration DateFebruary 17, 2020
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1023641115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 41000475A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10122 E 10TH ST STE 230, Indianapolis, IN 46229
Open in Google Maps ↗

Secondary Practice Location 1

Location 1535 Buena Vista Ave Apt 216Alameda, CA 94501-2054 · Phone (219) 742-7608

Other Identifiers 1

Medicaid300077951IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brendan Michael Ray Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305205261
PECOS Enrollment IDI20260706001057
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brendan Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Family Foot Care PC
141 mi
Foot & Ankle Surgery
966 W US HIGHWAY 30
Schererville, IN 46375
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1336336593 (219) 322-8894

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASSAWAR FAROOQ DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
IMANI GRAHAM DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
GREGORY W BOAKE D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
JACQUELYN NICOLE WOODCOCK DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
YOUSSEF MOUSTAFA DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
DR. COREY NATHANIAL GROH D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7120
KRISTEN LILE DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
WILLIAM EVANS
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Ray's NPI number?

The NPI number for Brendan Ray is 1023641115. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Brendan Ray located?

Brendan Ray practices at 10122 E 10th St Ste 230, Indianapolis, IN 46229. The listed phone number is (317) 355-7356.

What is Brendan Ray's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendan Ray enrolled in Medicare?

Yes. Brendan Ray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brendan Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Ray reassigns Medicare benefits to Progressive Family Foot Care PC (Schererville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brendan Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Ray accept?

Health plans from Anthem Blue Cross and Blue Shield list Brendan Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brendan Ray was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.